MEDizzy
MEDizzy
Doctor Medicine
Doctor Medicine over 6 years ago
New case

New case

An obese 35-year-old man was examined because of loss of vision in his right eye and gradually decreasing vision in his left eye. He also complained of redness, irritation, and a foreign-body sensation bilaterally. His medical history and his vision had previously been excellent, according to his medical records at the company at which he was employed as a computer engineer. However, during the past 4 years he had had an obsessive-compulsive disorder, which was treated with risperidone (common antipsychotic). His parents reported that he had a peculiar habit of luxating his eyes several times a day. When he was asked to demonstrate this, he easily everted his upper eyelids and luxated his globes with his finger. He then pushed the globes back to their normal position. On examination, the patient had blepharitis and corneal haze in both eyes. Ophthalmic examination showed no light perception in the right eye and a visual acuity of 20/200 in the left eye. Fundoscopic examination showed bilateral optic atrophy, more marked in the right eye. The patient was instructed to avoid luxating his globes, as he refused surgical treatment of the floppy eyelids. Stabilization of his psychiatric disease allowed the patient to be cooperative. Unfortunately, 4 months later he was totally blind. His parents reported that he had neverstopped luxating his globes.

Source: https://www.instagram.com/p/BrUufaIhosa/?utm_source=ig_share_sheet&igshid=w6w0q9yzo9df
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Top rated comment
over 6 years ago

Does he luxate both eyes? If yes, can that behavior explain the blindness. However, i will suggest that psychiatric history be viewed and possibly - meanwhile- change that drug. Risperidone is known to cause the following eye problems: Vision blurred, oculogyration, ocular hyperemia, eye discharge, conjunctivitis, eye rolling, eyelid edema, eye swelling, eyelid margin crusting, dry eye, lacrimation increased, photophobia, the glaucoma, visual acuity reduced.

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over 6 years ago

How sad😢

over 6 years ago

The blindness due to luxating or something else ?

over 6 years ago

Couldn't he be still treated? Also why wasn't the surgery performed? The patient was mentally unstable and his parent's could have taken charge the surgery could have been performed..!

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